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Published on: October 20, 2013
Can pre-hospital administration reduce time to initial antibiotic therapy in septic patients?
Daniel Cudini1,2, Karen Smith2,3,4,5, Stephen Bernard4,6
1Clinical Operations, Ambulance Victoria, Melbourne, Victoria, Australia.
Objective:
To quantify the potential time saved with pre-hospital antibiotic therapy in sepsis.
Methods:
Study data for adult patients transported by Ambulance Victoria (AV), and enrolled into the Australasian Resuscitation In Sepsis Evaluation (ARISE), were linked with pre-hospital electronic records.
Results:
An AV record was identified for 240 of 341 ARISE patients. The pre-hospital case notes referred to potential infection in 165 patients. The median time to first antibiotic administration from loading the patient into the ambulance was 107 (74-160) min.
Conclusions:
ARISE patients in Victoria were frequently identified pre-hospital. An opportunity exists to study the feasibility of pre-hospital antibiotic therapy.
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